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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72821/psn-pdf
    March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. … I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. … https://psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide- … https://psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources … https://psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
  2. psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
    November 16, 2022 - April 24, 2018 Patient safety after implementation of a coproduced family centered communication … December 19, 2018 I-PASS Mentored Implementation Handoff Curriculum: implementation guide … September 9, 2015 I-PASS mentored implementation handoff curriculum: champion training … November 19, 2018 Changes in medical errors after implementation of a handoff program … November 12, 2014 Development, implementation, and dissemination of the I-PASS Handoff
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47454/psn-pdf
    May 29, 2019 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent … Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent … https://psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code- … The authors call for widespread implementation of medication safety improvements into electronic health … https://psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854248/psn-pdf
    October 04, 2023 - Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for … Reduced postdischarge incidents after implementation of a hospital-to- home transition intervention … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home- transition-intervention … AE, rehospitalizations, and emergency department visits were all reduced following implementation of … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837417/psn-pdf
    June 15, 2022 - A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology … A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology … https://psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services- … https://psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated … https://psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852269/psn-pdf
    August 09, 2023 - Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating … Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating … https://psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion … This study used a pre-post design to estimate the rate of MAE before and after BCMA implementation on … https://psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837143/psn-pdf
    January 01, 2023 - Understanding the factors influencing implementation of a new national patient safety policy in England … Understanding the factors influencing implementation of a new national patient safety policy in England … https://psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety … https://psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england … https://psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based … Ensuring Effective Care Transition Communication: Implementation of an Electronic Medical Record-Based … https://psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic … In this pre–post study, researchers found that implementation of an electronic health record tool designed … https://psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860394/psn-pdf
    January 10, 2024 - Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve … January 10, 2024 Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture … https://psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety … https://psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve … https://psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842763/psn-pdf
    January 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism … Implementation of peer messengers to deliver feedback: an observational study to promote professionalism … https://psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study- promote-professionalism … This pilot study demonstrated that the implementation bundle can be successful with nursing staff. … https://psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73220/psn-pdf
    May 05, 2021 - Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic … Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic … https://psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid … Systems Engineering Initiative for Patient Safety (SEIPS) model to assess barriers related to telehealth implementation … https://psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848317/psn-pdf
    May 03, 2023 - Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered … Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered … https://psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation … This article describes the implementation and success of a patient-centered medication review conducted … https://psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74203/psn-pdf
    December 22, 2021 - Improving the implementation and adherence of the surgical safety checklist: a quality improvement project … Improving the implementation and adherence of the surgical safety checklist: a quality improvement project … https://psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation … https://psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence … https://psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836924/psn-pdf
    April 13, 2022 - The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction … The analysis of hospital readmission rates after the implementation of hospital readmissions reduction … https://psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital- readmissions-reduction … https://psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction … https://psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73282/psn-pdf
    January 01, 2022 - Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation … Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation … https://psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation- medication-reconciliation … https://psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation … https://psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60556/psn-pdf
    June 03, 2020 - The overall error rates were similar before and after implementation but the error types changed before … and after implementation of these tools.  … After implementation, lack of clarity, incomplete orders and wrong unit errors were reduced but dosing … Pre-implementation, 78% of errors were deemed preventable by electronic prescribing and smart-pumps; … post-implementation 27% of errors were attributed to the technology and would not have occurred if the
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72544/psn-pdf
    December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of … Design and Implementation of an analgesia, sedation, and paralysis order set to enhance compliance of … https://psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set- enhance-compliance-pro … The authors describe the implementation of staff education and a pediatric intensive care unit (PICU … https://psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865484/psn-pdf
    April 03, 2024 - Communication of incidental imaging findings on inpatient discharge summaries after implementation of … Communication of incidental imaging findings on inpatient discharge summaries after implementation of … psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries- after-implementation … /psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation … /psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867379/psn-pdf
    January 01, 2025 - Implementation of electronic triggers to identify diagnostic errors in emergency departments. … Implementation of electronic triggers to identify diagnostic errors in emergency departments. … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency- … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38328/psn-pdf
    January 02, 2017 - Using implementation safety indicators for CPOE implementation. … Using implementation safety indicators for CPOE implementation. … https://psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation This study describes … the learnings from implementation of the Veteran Affairs' computerized provider order entry (CPOE) … https://psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation https://psnet.ahrq.gov

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